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MELISSA ANN TARAZON LADAC
NPI 1245574136
Counselor - Addiction (Substance Use Disorder) in Farmington, NM

Active since November 16, 2012PECOS Enrolled
1200 W APACHE ST, FARMINGTON, NM 87401(505) 258-2763(505) 675-2803 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, Jan 26, 2023 (2 updates tracked since 2023).

About Melissa Ann Tarazon Ladac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA ANN TARAZON LADAC (NPI 1245574136) is an individual addiction (substance use disorder) provider in Farmington, New Mexico, licensed in New Mexico (0170431) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245574136
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMELISSA ANN TARAZONCredential: LADAC
Location Address1200 W APACHE STFarmington, NM 87401-3886
Mailing Address1200 W Apache StFarmington, NM 87401-3886 · (505) 258-2763 · Fax (505) 675-2803
Phone(505) 258-2763
Fax(505) 675-2803
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 16, 2012
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1245574136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · 0170431
1200 W APACHE ST, Farmington, NM 87401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Ann Tarazon Ladac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052808474
PECOS Enrollment IDI20251017001104
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYNIE, INC
Community/Behavioral Health
1200 W APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 258-2763
MS. KIMBERLY ANN HAYNIE LCSW
Social Worker (Clinical)
1200 W APACHE ST
FARMINGTON, NM 87401
San Juan County (505) 258-2763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Tarazon's NPI number?

The NPI number for Melissa Tarazon is 1245574136. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Where is Melissa Tarazon located?

Melissa Tarazon practices at 1200 W Apache St, Farmington, NM 87401. The listed phone number is (505) 258-2763.

What is Melissa Tarazon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Melissa Tarazon enrolled in Medicare?

Yes. Melissa Tarazon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Tarazon was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.